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Dr. Andrew Rynne

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Exp 50 years

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Persistent Back Pain. MRI Shows Disc Bulge, Annular Tear. No Relief With Various Therapies. Help?

I have been having persistent backpain for over 8 months now, I take tramadol and Cyclobenzaprine for muscle relaxer. I have done Physical Therapy, and had two epidurals to no relief. I have been tested for Spondelitis, and the only cause shown on MRI could be buldging disc, and anuluar tear. I am starting to get a feeling like i'm on a boat kind of light nausea, I feel as if i'm weak, and have a poor short term memory now. The black spot just appeared on my right palm, and not sure if Tramadol is causing the nausua or the Cyclobenzaprine. My pain is usually around 8-9 out of 10, I don't have the MRI's to show, Blood work comes up normal.
Wed, 10 Apr 2013
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Orthopaedic Surgeon, Joint Replacement 's  Response
Hello and Welcome to HCM,
Thanks for writing to us.
I understand you have back pain . These symptoms are part of lumbar disc degeneration with PIVD where the nerves get compressed by the protruded disc.
There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks.
If you don't get better with these treatment ,I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms
Hope this helps you.
Wishing you good health...
Regards.
Dr Saurabh Gupta.
Orthopaedic Surgeon.
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Persistent Back Pain. MRI Shows Disc Bulge, Annular Tear. No Relief With Various Therapies. Help?

Hello and Welcome to HCM, Thanks for writing to us. I understand you have back pain . These symptoms are part of lumbar disc degeneration with PIVD where the nerves get compressed by the protruded disc. There are several treatment modalities with medicines, physiotherapy and with injections in the back called epidural injections and root/facet blocks. If you don t get better with these treatment ,I suggest you undergo surgery, by which the nerves are decompressed by removing the protruded disc (discectomy), which would significantly improve your symptoms Hope this helps you. Wishing you good health... Regards. Dr Saurabh Gupta. Orthopaedic Surgeon.